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Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study

Overview of attention for article published in BMC Pregnancy and Childbirth, March 2015
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1 X user
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2 Facebook pages

Citations

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72 Dimensions

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323 Mendeley
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Title
Barriers to providing quality emergency obstetric care in Addis Ababa, Ethiopia: Healthcare providers’ perspectives on training, referrals and supervision, a mixed methods study
Published in
BMC Pregnancy and Childbirth, March 2015
DOI 10.1186/s12884-015-0493-4
Pubmed ID
Authors

Anne Austin, Hanna Gulema, Maria Belizan, Daniela S Colaci, Tamil Kendall, Mahlet Tebeka, Mengistu Hailemariam, Delayehu Bekele, Lia Tadesse, Yemane Berhane, Ana Langer

Abstract

Increasing women's access to and use of facilities for childbirth is a critical national strategy to improve maternal health outcomes in Ethiopia; however coverage alone is not enough as the quality of emergency obstetric services affect maternal mortality and morbidity. Addis Ababa has a much higher proportion of facility-based births (82%) than the national average (11%), but timely provision of quality emergency obstetric care remains a significant challenge for reducing maternal mortality and improving maternal health. The purpose of this study was to assess barriers to the provision of emergency obstetric care in Addis Ababa from the perspective of healthcare providers by analyzing three factors: implementation of national referral guidelines, staff training, and staff supervision. A mixed methods approach was used to assess barriers to quality emergency obstetric care. Qualitative analyses included twenty-nine, semi-structured, key informant interviews with providers from an urban referral network consisting of a hospital and seven health centers. Quantitative survey data were collected from 111 providers, 80% (111/138) of those providing maternal health services in the same referral network. Respondents identified a lack of transportation and communication infrastructure, overcrowding at the referral hospital, insufficient pre-service and in-service training, and absence of supportive supervision as key barriers to provision of quality emergency obstetric care. Dedicated transportation and communication infrastructure, improvements in pre-service and in-service training, and supportive supervision are needed to maximize the effective use of existing human resources and infrastructure, thus increasing access to and the provision of timely, high quality emergency obstetric care in Addis Ababa, Ethiopia.

X Demographics

X Demographics

The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 323 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Kenya 1 <1%
Tanzania, United Republic of 1 <1%
Unknown 321 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 67 21%
Researcher 32 10%
Student > Bachelor 22 7%
Student > Ph. D. Student 21 7%
Lecturer 18 6%
Other 52 16%
Unknown 111 34%
Readers by discipline Count As %
Medicine and Dentistry 67 21%
Nursing and Health Professions 66 20%
Social Sciences 28 9%
Agricultural and Biological Sciences 7 2%
Business, Management and Accounting 5 2%
Other 30 9%
Unknown 120 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 April 2015.
All research outputs
#14,221,392
of 22,799,071 outputs
Outputs from BMC Pregnancy and Childbirth
#2,702
of 4,187 outputs
Outputs of similar age
#139,460
of 264,140 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#59
of 84 outputs
Altmetric has tracked 22,799,071 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,187 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,140 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 84 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.